"He caught us empty-handed. Blaise Aguirre genuinely captured the essence of a significant gap in the practice of psychotherapy for mental health conditions. While much has been written about distorted thinking and self-criticism in conditions such as borderline personality disorder, OCD, and depression, no one has singled out the concept of self-hatred as a tangible and coherent phenomenon that can be assessed for and treated directly. I thought I knew what self-hatred was, but I only knew how it manifested in other observable symptoms. As a concept of its own, defined equally by the author and by the generous people with lived experience who contributed to this book, self-hatred transcends diagnoses and can be, or rather finally will be, a core treatment target in the alleviation of human suffering."
—Jon Hershfield, MFT, Director of The Center for OCD and Anxiety, Sheppard Pratt Hospital

"Not only is this book beautifully and compassionately written as itself an act of love and inspiration, it shines a light one of the most underlooked topics in mental health and the lives of suffering people who deserve better. It's not just my hope but my belief that this book can bring relief to millions."
—Dr. Chris Willard PsyD, Harvard Medical School faculty and author of How We Grow Through What We Go Through

"In this evocative volume, Blaise Aguirre provides critical information on a deeply painful, yet under-recognized clinical problem: the persistent, unrelenting, and unyielding intense dislike of the self that is self-hatred. In his characteristic straight-talking yet compassionate style, Aguirre not only provides a rich understanding of self-hatred, but the life-saving tools to combat it. This book is essential reading for those who experience self-hatred and the clinicians who support them."
—Carla Sharp, Ph.D., John and Rebecca Moores Professor, University of Houston

"With a questing knight's stalwart heart, a philosopher's sweeping vision, and a poet's relentless pursuit of beauty, Dr. Aguirre approaches a dragon’s lair where many fear to tread and successfully develops an empathic descriptive phenomenology of self-hatred and a full quiver of actionable strategies for both patients and clinicians. His stirring vision of how to understand and target self-hatred got me thinking more deeply about my patients and myself, and it rattled all the chambers of my heart. For all those who suffer the sting and scrape of this particular dragon's claw, with this book Dr. Aguirre may just have landed a javelin toss that pierces the heart of suffering, lets in some light, and recovers what is irrefutably worthy of love."
—Brandon Unruh, MD, Founding Director, Mentalization-Based Treatment Clinic, McLean Hospital, Instructor in Psychiatry, Harvard Medical School

"A long overdue masterful deep dive into the importance of tackling self-hatred head-on, with expert viewpoints from individuals with lived experience and mental health professionals. This is a must-read for those impacted by self-hatred, with insights to overcome this distressing core belief, and for therapists and researchers to take up the challenge of addressing this condition, allowing affected individuals to reclaim their self-worth."
—Lynn Courey, CSW, founder and president of The Sashbear Foundation, helping families with skills and hope

"World-renowned expert on borderline personality disorder, Dr. Blaise Aguirre draws on over 24 years of experience at McLean Hospital and in private practice to delve into the roots of self-hatred. Through his insights, Dr. Aguirre offers a path toward healing for both clinicians and patients, illuminating ways to foster understanding and resilience."
—Neal Mills, MD, Inspiring Children Foundation

"The author’s unparalleled insights into navigating the immense pressures of young adulthood—particularly the college transition—is nothing short of transformative. At a time when both students and parents face overwhelming emotional and psychological challenges, this guide is an essential resource. The author's ability to address the often-overlooked psychological dynamics with parent, child in the high-school to college transition makes this work groundbreaking and truly invaluable for families seeking a path to success during this critical phase. Beyond the book, on a personal note, our foundation has worked very closely with Dr. Aguirre and we have witnessed firsthand the practical ideas outlined in the book."
—Ryan Wolfington, Co-founder of Inspiring Children Foundation; President, Jewel Inc.

"Dr. Blaise Aguirre has led the way on many clinical issues. Here he again breaks new ground on the poorly understood and researched topic of self-loathing. He starts with asking his patients what they have experienced, and confirms with his colleagues that they are not trained to help people with this issue. This practical and ultimately hopeful book will be of use to individuals, families, and therapists alike."
—Ken Duckworth, MD, Chief Medical Officer, NAMI, and author of You Are Not Alone: The NAMI Guide to Navigating Mental Health